Perez, Jude

Perez, Jude is an individual health care provider with primary practice located at 5875 E Riverside Blvd , Rockford IL 61114-4937. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Perez, Jude can be contacted via phone (158) 381-7431.

Contact Information

Primary practice address
5875 E Riverside Blvd Rockford IL 61114-4937
Phone: (158) 381-7431
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 036107605 Illinois
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036107605 Illinois

Profile Details

NPI number 1194755587
LBN Legal business name Perez, Jude
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Apr 25th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194755587 NPPES
Illinois MEDICAID 36107605

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